| NPI | 1063577237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD430263) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD430263) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2016-03-03 |