| NPI | 1205033990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 18796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 6210) |
| 208000000X Pediatrics (Licence: AK 6210) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-03-12 |