| NPI | 1972858629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD455217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200782) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2015-09-11 |