| NPI | 1033435987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C174484) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD455531) |
| Enumeration Date | 2010-04-18 |
| Last Update Date | 2022-12-23 |