| NPI | 1598128969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME144947) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.027825) |
| 208000000X Pediatrics (Licence: OH 57.027825) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2020-06-08 |