| NPI | 1972595387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD423727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD423727) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2024-02-28 |