| NPI | 1720209729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD 443835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200900809) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-10-03 |