| NPI | 1245524727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD452298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199205) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-04-29 |