| NPI | 1730166091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 21628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD491493C) |
| 208000000X Pediatrics (Licence: NV 21628) | |
| 208M00000X Hospitalist (Licence: NV 21628) | |
| 208000000X Pediatrics (Licence: PA MD491493C) | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2025-09-07 |