| NPI | 1356355747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 36438) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0059407) |
| 208000000X Pediatrics (Licence: MD D0059407) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-11-04 |