| NPI | 1881626638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD071688L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038423) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-02-01 |