| NPI | 1336414648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D84334) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101259620) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2022-05-04 |