| NPI | 1669736344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD455622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 81391) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-10-23 |