| NPI | 1407016454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD442500) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD442500) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME115615) | |
| 208600000X Surgery (Licence: PA MT189472) | |
| 208600000X Surgery (Licence: FL ME115615) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-01-02 |