| NPI | 1174839591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197854) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2020-08-19 |