| NPI | 1407057631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101268927) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085933) |
| 207R00000X Internal Medicine (Licence: MI 4301085933) | |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2021-09-02 |