| NPI | 1356603880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 042.0013947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-251795) |
| 208000000X Pediatrics (Licence: VT 042.0013947) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-03-17 |