| NPI | 1356731665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A165616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0087053) |
| 208000000X Pediatrics (Licence: CA A165616) | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2020-10-23 |