| NPI | 1275849135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454088) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 41215) |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2015-10-09 |