| NPI | 1336108943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 83254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301077877) |
| 208000000X Pediatrics (Licence: MI 4301077877) | |
| 208000000X Pediatrics (Licence: SC 83254) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-10-26 |