| NPI | 1174726038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 52532-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-049195) |
| 208000000X Pediatrics (Licence: WI 53532-20) | |
| 208000000X Pediatrics (Licence: IL 125-049195) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-10-07 |