| NPI | 1821387929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 2527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015529) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2022-04-20 |