| NPI | 1255710315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2019-01687) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01687) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2021-03-22 |