| NPI | 1689171167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD477733) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD477733) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD477733) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-02-04 |