| NPI | 1942377296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD154409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD022974E) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-09-28 |