| NPI | 1366570228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: PA MD436379) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134668) |
| 2085R0001X (Licence: MD D72262) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-04-11 |