| NPI | 1548262280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 60087-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 7024A) |
| 208000000X Pediatrics (Licence: WY 7024A) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2023-03-07 |