| NPI | 1508840737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD-068323-L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD068323L) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-12-28 |