| NPI | 1851689343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD454618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200107) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2016-08-22 |