| NPI | 1770581100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD053097L) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD053097L) |
| 207RB0002X Internal Medicine, Bariatric Medicine (Licence: PA MD-053097-L) | |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: PA MD-053097-L) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: PA MD-053097-L) | |
| Enumeration Date | 2005-07-10 |
| Last Update Date | 2015-10-18 |