| NPI | 1710178074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD432623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT182081) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2011-11-28 |