| NPI | 1407099930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454937) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258800) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2015-06-18 |