| NPI | 1275735672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT190685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD439615) |
| 208000000X Pediatrics (Licence: PA MD439615) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2019-10-08 |