| NPI | 1467801530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 32845) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39523) |
| 208000000X Pediatrics (Licence: SC LL39523) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2021-03-19 |