| NPI | 1447379367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD436306) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225820) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD436306) | |
| 208000000X Pediatrics (Licence: CA 160774) | |
| 208000000X Pediatrics (Licence: VA 0101266834) | |
| 207R00000X Internal Medicine (Licence: VA 0101266834) | |
| 208000000X Pediatrics (Licence: NY 225820) | |
| 207R00000X Internal Medicine (Licence: CA 160774) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2025-11-26 |