| NPI | 1174783526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 247460) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 247460) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-09-27 |