| NPI | 1467816058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 408722) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 1016096) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-12-19 |