| NPI | 1457510695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME143610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01068539) |
| 208000000X Pediatrics (Licence: IN 01068539) | |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-09-11 |