| NPI | 1255673737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301114898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457678) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-12-19 |