| NPI | 1861706228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD449776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197619) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2018-04-04 |