| NPI | 1174567762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD052250L) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0029574) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2017-12-08 |