| NPI | 1538174065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD429561) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G058001) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-01-06 |