| NPI | 1215935580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD-064368-L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101054552) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2007-07-08 |