| NPI | 1619297710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD464557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 287535) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-07-21 |