| NPI | 1780080416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD461378) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064405) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2018-03-17 |