| NPI | 1942529805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD447853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196837) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2018-04-04 |