| NPI | 1811253867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-01791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200911) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-06-29 |