| NPI | 1447637038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 88889) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-01266) |
| 207R00000X Internal Medicine (Licence: NC 2019-01266) | |
| 208000000X Pediatrics (Licence: SC 88889) | |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2023-03-16 |