| NPI | 1447519921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 304658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 304658) |
| 207R00000X Internal Medicine (Licence: DE C1-0011783) | |
| 208000000X Pediatrics (Licence: DE C1-0011783) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-08-31 |