| NPI | 1376994616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301501885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A166119) |
| 208000000X Pediatrics (Licence: OR MD205099) | |
| 208000000X Pediatrics (Licence: MI 4301501885) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-11-04 |