| NPI | 1356650410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD456342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA BM9091961587) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2024-07-10 |