| NPI | 1073932133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A137962) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A137962) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-07-02 |