| NPI | 1396783148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD482158) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046464) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-08-17 |