| NPI | 1255676037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD468886) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 59916-20) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2024-04-25 |