| NPI | 1740480052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD059005L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD059005L) |
| 225100000X Physical Therapist (Licence: PA PT006710L) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-08-19 |