| NPI | 1598701880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101235972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT MED-PHYA-LIC-79546) |
| 207R00000X Internal Medicine (Licence: WV WV-SE-1778) | |
| 208000000X Pediatrics (Licence: NY 0101235972) | |
| 208M00000X Hospitalist (Licence: WV WV-SE-1778) | |
| 207R00000X Internal Medicine (Licence: VA 0101235972) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-06-23 |