| NPI | 1952407678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD442199) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC 035842) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2024-04-02 |