| NPI | 1497011258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 295016) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455949) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-07-25 |