| NPI | 1205167194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60135219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189177) |
| Enumeration Date | 2010-01-17 |
| Last Update Date | 2021-04-29 |