| NPI | 1609027580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 54211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 54211) |
| 207R00000X Internal Medicine (Licence: MN 107143) | |
| 207R00000X Internal Medicine (Licence: IL 125051198) | |
| 208000000X Pediatrics (Licence: WI 54211) | |
| 208000000X Pediatrics (Licence: IL 125051198) | |
| 208000000X Pediatrics (Licence: MN 107143) | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2022-05-24 |