| NPI | 1164711248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.38404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.38404) |
| 208000000X Pediatrics (Licence: AL 38404) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2024-02-01 |