| NPI | 1407275035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 51188) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51188) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2022-10-18 |