| NPI | 1154508927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD442803) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD442803) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MA09365400) | |
| 208D00000X General Practice (Licence: PA MD442803) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2017-04-24 |