| NPI | 1326206087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114595) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 1911593) |
| 207R00000X Internal Medicine (Licence: WI 6113820) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2015-02-02 |