| NPI | 1245529460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454541) |
| 207R00000X Internal Medicine (Licence: NY 267758-1) | |
| 208000000X Pediatrics (Licence: NY 267758-1) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2015-09-12 |