| NPI | 1629237250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD444952) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255245) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-08-09 |