| NPI | 1083694830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301063552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 431063552) |
| 208000000X Pediatrics (Licence: MI 4301063552) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-09-01 |