| NPI | 1538172879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 22831) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 22831) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2019-01-03 |