| NPI | 1306158654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449029) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 198119) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-04-04 |