| NPI | 1285973123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD469451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C1-0012221) |
| 207R00000X Internal Medicine (Licence: MD D91075) | |
| 208000000X Pediatrics (Licence: PA MD469451) | |
| 208000000X Pediatrics (Licence: DE C1-0012221) | |
| 208000000X Pediatrics (Licence: MD D91075) | |
| 208D00000X General Practice (Licence: VA 0101256841) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT224829) | |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2023-04-04 |