| NPI | 1528067204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200401366) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2004-01366) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2023-09-01 |