| NPI | 1679782528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD437804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT190650) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-10-02 |