| NPI | 1427373893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449447) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 196323) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2013-12-04 |