| NPI | 1821030321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS009602L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA os 009602l) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2015-04-07 |