| NPI | 1407293467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT-015385) |
| 207R00000X Internal Medicine (Licence: WV 3111) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA OS017939) | |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2018-12-13 |