| NPI | 1548403207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 24363) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 24363) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2022-04-15 |