| NPI | 1619227584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX N7730) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N7730) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2024-10-02 |