| NPI | 1295051761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 83277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0056340) |
| 208000000X Pediatrics (Licence: CO 0056340) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2020-01-22 |