| NPI | 1669704607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD439396) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 252490-1) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2012-11-16 |