| NPI | 1013322866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7301) |
| 208000000X Pediatrics (Licence: NE 7301) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2018-08-21 |