| NPI | 1275951261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A156314) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A156314) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2019-07-08 |