| NPI | 1760663363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 276309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441417) |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2020-01-31 |