| NPI | 1649319922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD430172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA FS0127553) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2024-06-21 |