| NPI | 1568543767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 28161) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.28161) |
| 208000000X Pediatrics (Licence: AL 28161) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-02-23 |