| NPI | 1265669907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2012-00121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD457550) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2022-04-15 |