| NPI | 1174753131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD071458L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 37737) |
| 207R00000X Internal Medicine (Licence: IL 036-116461) | |
| 207R00000X Internal Medicine (Licence: OH 35.090443) | |
| 207R00000X Internal Medicine (Licence: WV 23132) | |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |