| NPI | 1396954764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 051170) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-050696) |
| 208000000X Pediatrics (Licence: CT 055170) | |
| 207Q00000X Family Medicine (Licence: CT 055170) | |
| 207R00000X Internal Medicine (Licence: IL 125-050696) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2024-05-13 |