| NPI | 1447419551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME109635) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192147) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2012-02-17 |