| NPI | 1720248321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101017736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015742) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2015-07-28 |