| NPI | 1174726988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 078550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088347) |
| 208000000X Pediatrics (Licence: MI 4301088347) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2017-10-11 |