| NPI | 1407049620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2010-00778) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2010-00778) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2023-02-23 |