| NPI | 1811157506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME133720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD-432330) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2022-09-08 |