| NPI | 1790850014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD447777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 236348) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-09-06 |