| NPI | 1477745156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.202197) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.2.LSUN-MEDP) |
| 208000000X Pediatrics (Licence: LA PGY.2.LSUN-MEDP) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-08-05 |