| NPI | 1932339322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD452626) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT191312) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2018-03-28 |