| NPI | 1326307943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD459111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 054354) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2024-01-09 |