| NPI | 1154424661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201000727) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036107487) |
| 208000000X Pediatrics (Licence: NC 2010-00727) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2023-08-07 |