| NPI | 1023479060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 53789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 53789) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2020-10-27 |