| NPI | 1457678377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA MD461194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD461194) |
| 208000000X Pediatrics (Licence: PA MD461194) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD461194) | |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2020-10-21 |