| NPI | 1689761751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD445630) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 212401) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2015-01-23 |