| NPI | 1366606279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT191690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441540) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-06-20 |