| NPI | 1659355899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD173772) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD424815) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2021-01-14 |