| NPI | 1891797015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD045274E) |
| Additional Taxonomies | 202C00000X Independent Medical Examiner (Licence: PA MD045274E) |
| 207R00000X Internal Medicine (Licence: FL ME73807) | |
| 207R00000X Internal Medicine (Licence: NC 9400621) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2009-03-20 |