| NPI | 1285049064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD463660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT207619) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2021-08-12 |