| NPI | 1578761433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D73058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090582) |
| 207R00000X Internal Medicine (Licence: PA MT192363) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2022-03-09 |