| NPI | 1346450319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD430332) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-10-20 |