| NPI | 1184827321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D66778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT184746) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-08-08 |