| NPI | 1487688453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD048483L) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD048483L) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-04-02 |