| NPI | 1801134309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD466362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301113590) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-07-01 |