| NPI | 1386629178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD044159E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C10004561) |
| 207R00000X Internal Medicine (Licence: NY 303579) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-09-10 |