| NPI | 1386761484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 40078) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429846) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-07-14 |