| NPI | 1134656218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.42622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.42622) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2021-09-16 |