| NPI | 1396126801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 273303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-263287) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2019-04-27 |