| NPI | 1740570084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD452621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1271) |
| 207R00000X Internal Medicine (Licence: AL MD.33672) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2020-09-11 |