| NPI | 1588717177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD456132) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046659) |
| 207R00000X Internal Medicine (Licence: NY 259999) | |
| 207R00000X Internal Medicine (Licence: SC 36913) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-09-21 |