| NPI | 1871726984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME112253) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192175) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2018-05-03 |