| NPI | 1558394544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MA 227214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 227214) |
| 208000000X Pediatrics (Licence: MA 227214) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2018-01-18 |