| NPI | 1639379258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: PA MD447894) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94564) |
| 208000000X Pediatrics (Licence: NC 201101474) | |
| 208000000X Pediatrics (Licence: PA MD447894) | |
| 207R00000X Internal Medicine (Licence: CA A94564) | |
| 207R00000X Internal Medicine (Licence: NC 2011-01474) | |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2022-06-21 |