| 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 |