| NPI | 1154457455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 14972) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 14972) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-10-30 |