| NPI | 1275761785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C168058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME118299) |
| 208000000X Pediatrics (Licence: FL ME118299) | |
| 208000000X Pediatrics (Licence: CA C168058) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-10-11 |