| NPI | 1700015500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01522) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2013-09-05 |