| NPI | 1245258599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: GA 54031) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01064328) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-15 |