| NPI | 1609219245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2022015274) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022015274) |
| 208000000X Pediatrics (Licence: KS 04-40412) | |
| 207R00000X Internal Medicine (Licence: KS 04-40412) | |
| 207R00000X Internal Medicine (Licence: MO 2013019954) | |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2022-06-08 |