| NPI | 1235345687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119990) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 218421) |
| 208000000X Pediatrics (Licence: MA 218421) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2017-01-20 |