| NPI | 1396773594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MI 4301088899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01061903A) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2018-03-01 |