| NPI | 1225267040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD600001675) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095137) |
| 208000000X Pediatrics (Licence: MI 4301095137) | |
| 208000000X Pediatrics (Licence: DC MD600001675) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2024-08-02 |