| NPI | 1881827269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 24953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194268) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2022-04-05 |