| NPI | 1669760534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD443055) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2016-04-30 |