| NPI | 1750354718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD422496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 235670-1) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-03-04 |