| NPI | 1407181142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD458858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 247589) |
| 207R00000X Internal Medicine (Licence: NY 00354967) | |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2019-08-21 |