NPI | 1447838446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD490148) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD490148) |
208000000X Pediatrics (Licence: PA MD490148) | |
Enumeration Date | 2021-03-31 |
Last Update Date | 2025-08-01 |