| NPI | 1316109655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME118270) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192614) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-04-15 |