| NPI | 1346688793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD464989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255530) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2019-09-10 |