| NPI | 1255560272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 16659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196087) |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2020-11-23 |