| NPI | 1578762829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD437631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200701053) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-04-24 |