| NPI | 1386787109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C150037) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50096) |
| 208000000X Pediatrics (Licence: WI 50096) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-03-17 |