| NPI | 1487911756 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD043978) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD043978) | 
| Enumeration Date | 2012-04-11 | 
| Last Update Date | 2022-07-21 |