| NPI | 1467741249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141471) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A156818) |
| 207R00000X Internal Medicine (Licence: MD D0079704) | |
| 208000000X Pediatrics (Licence: MD D0079704) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2023-03-14 |