NPI | 1104834845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MD058926L) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD058926L) |
Enumeration Date | 2006-08-04 |
Last Update Date | 2023-03-21 |