| NPI | 1912971276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD031741E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 178361-1) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2012-10-16 |