| NPI | 1700049905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 2184) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2017-10-09 |