| NPI | 1811159486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD441330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192545) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2011-07-05 |