| NPI | 1023252715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301112464) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 51970) |
| 207R00000X Internal Medicine (Licence: MI 4301112464) | |
| 208000000X Pediatrics (Licence: CT 51970) | |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2019-06-17 |