| NPI | 1265449672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD032724E) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD032724) |
| 208000000X Pediatrics (Licence: PA MD032724) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |