| NPI | 1013336536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274473) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 260527) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2020-02-24 |