| NPI | 1730491770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016582) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013049) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2020-03-25 |