| NPI | 1598043911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD459146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 634965641) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-08-28 |