| NPI | 1952507287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD466235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 258142-1) |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2019-01-14 |