| NPI | 1720166986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: PA MD424408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD424408) |
| 208D00000X General Practice (Licence: PA MD424408) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2011-08-30 |