| NPI | 1316200447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME135949) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284316) |
| 207R00000X Internal Medicine (Licence: PA MD456915) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-01-29 |