| NPI | 1619154366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS014599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT011843) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2010-08-03 |