| NPI | 1083032718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101024249) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MI 5101024249) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-11-05 |