| NPI | 1316476484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD470234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213847) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2020-06-22 |