| NPI | 1376741710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD461960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT185198) |
| 207R00000X Internal Medicine (Licence: LA 201680) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-11-14 |