| NPI | 1225067614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101239565) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101239565) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-02-21 |