| NPI | 1942259833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD28483) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD066912L) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2015-10-05 |