| NPI | 1730347907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 53413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 190405) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2021-06-21 |