| NPI | 1528474087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 64856-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 64856-21) |
| Enumeration Date | 2014-07-05 |
| Last Update Date | 2021-04-01 |