| NPI | 1003340019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-02942) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NC 2020-02942) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2021-07-26 |