| NPI | 1801983523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD444053) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 7268A) |
| 207R00000X Internal Medicine (Licence: WY 7268A) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-09-20 |