| NPI | 1073809216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD-22856) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MD-22856) |
| 207R00000X Internal Medicine (Licence: MN 59507) | |
| 208000000X Pediatrics (Licence: MN 59507) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-08-23 |