| NPI | 1639529696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 304065-01) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT212106) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2020-10-02 |