| NPI | 1497991079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD445436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD038030) |
| 207R00000X Internal Medicine (Licence: MD D68991) | |
| 207R00000X Internal Medicine (Licence: VA 0101248505) | |
| Enumeration Date | 2009-01-01 |
| Last Update Date | 2020-09-10 |