| NPI | 1326035536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD053208L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 12934) |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-07-08 |