| NPI | 1437687993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-02450) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL41071) |
| 208000000X Pediatrics (Licence: NC 2021-02450) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2021-08-17 |