| NPI | 1265464408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 35920) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 35920) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-12-01 |