| NPI | 1730231226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA os013935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2834941) |
| 207R00000X Internal Medicine (Licence: PA OT010700) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-17 |