| NPI | 1023374378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 303029) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 303029) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2021-10-20 |