| NPI | 1992944912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD437425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT188649) |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2017-03-21 |