| NPI | 1184984478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD15644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT201781) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2018-03-17 |