| 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 |