| NPI | 1174500680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD452878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 039741) |
| 207R00000X Internal Medicine (Licence: MA 250802) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2016-04-14 |