| NPI | 1831571470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS018625) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT016643) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2017-04-26 |