| NPI | 1720346919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD457296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-41908) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2016-09-08 |