| NPI | 1093740060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 228843) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 14362) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-06-24 |