| NPI | 1508202995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 080742) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R73852) |
| 208000000X Pediatrics (Licence: AZ R73852) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-09-08 |