| NPI | 1578767323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 29908) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC 29908) |
| 208000000X Pediatrics (Licence: SC 29908) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2024-03-23 |