| NPI | 1194014563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 8270) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 8270) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-05-29 |