| NPI | 1295051647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60697662) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD450805) |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2017-01-03 |