| NPI | 1487641221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD043262L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD0462L) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2023-01-17 |