| NPI | 1619006996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 27285) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 27285) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-04-02 |