| NPI | 1780970442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS016649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT013994) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2020-01-08 |