| NPI | 1447670948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 61472) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 61472) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-03-11 |