| NPI | 1902361363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD481035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD481035) |
| 208000000X Pediatrics (Licence: DE C1-0025909) | |
| 207R00000X Internal Medicine (Licence: DE C1-0025909) | |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2024-03-11 |