| NPI | 1851659866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD454580) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454580) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2026-03-02 |