| NPI | 1902951304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD442152) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P17477) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-07-24 |