| NPI | 1518008341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD201284) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA md.201284) | 
| Enumeration Date | 2007-02-12 | 
| Last Update Date | 2024-12-31 |