| NPI | 1417938291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD481376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 043651) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-10-09 |