| NPI | 1932226933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188024) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2022-08-03 |