| NPI | 1760627814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD441038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 002932) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2019-07-11 |