| NPI | 1104270594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 283075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 283075) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-05-22 |