| NPI | 1023504149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101025770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101024346) |
| 208000000X Pediatrics (Licence: MI 5101024346) | |
| 208000000X Pediatrics (Licence: MI 5101025770) | |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2022-06-20 |