| NPI | 1801007232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD442043) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD442043) |
| 208000000X Pediatrics (Licence: PA MT190126) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2018-05-29 |