| NPI | 1609288828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 63811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 63811) |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-10-05 |