| NPI | 1255330023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OK 20792) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 20792) |
| 208000000X Pediatrics (Licence: OK 20792) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-04-13 |