| NPI | 1245320043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2004-00494) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-05-07 |