| NPI | 1336481688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD467135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260036) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-12-06 |