| NPI | 1255543849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME 107426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT 184751) |
| 208000000X Pediatrics (Licence: PA MT 184751) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-05-24 |