| NPI | 1942552328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD455637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 25499) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2018-05-15 |