| NPI | 1457769168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD468805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60744858) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2019-12-03 |