| NPI | 1376757260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-01877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD428151) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-09-13 |