| NPI | 1407061815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD439833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190395) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2012-04-04 |