| NPI | 1972595288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD041503E) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: PA MD041503E) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2014-01-16 |