| NPI | 1831332303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD463699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 206426) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2022-06-07 |