| NPI | 1073926929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.145844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.145844) |
| 208000000X Pediatrics (Licence: MA l-259415) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-07-27 |