| NPI | 1295153021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 274250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125065920) |
| 207R00000X Internal Medicine (Licence: IL 125065920) | |
| 208000000X Pediatrics (Licence: MA 274250) | |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2023-07-23 |