| NPI | 1902039621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS015968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT012822) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2012-06-04 |