| NPI | 1174621809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD464185) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133438) |
| 208000000X Pediatrics (Licence: WV 21580) | |
| 207R00000X Internal Medicine (Licence: WV 21580) | |
| 208000000X Pediatrics (Licence: OH 35.133438) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-09-24 |