NPI | 1144971185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL PA9115443) |
Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: FL PA9115443) |
Enumeration Date | 2022-01-11 |
Last Update Date | 2025-07-11 |