| NPI | 1114331832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 25462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL36962) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2020-07-09 |