| NPI | 1235124918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61256788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD065573L) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2022-07-22 |