| NPI | 1316262868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME142100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D77990) |
| 208000000X Pediatrics (Licence: MD D77990) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2019-10-18 |