| NPI | 1023463668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-00558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00558) |
| 208000000X Pediatrics (Licence: NC 218140) | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-05-08 |