| NPI | 1629041512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD045105E) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD045105E) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2013-07-01 |