| NPI | 1154315059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD065507L) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: PA MD065507L) |
| 208000000X Pediatrics (Licence: PA MD065507L) | |
| 2083B0002X Preventive Medicine Obesity Medicine (Licence: PA MD065507L) | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2022-01-17 |