| NPI | 1023301652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS017797) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA OT014113) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA OS017797) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2022-03-07 |