| NPI | 1841205713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD432073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 229665) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-10-26 |