| NPI | 1801087754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD436414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR LL17067) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2016-11-04 |