| NPI | 1619316429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NC 2019-01404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125062913) |
| 208000000X Pediatrics (Licence: IL 125062913) | |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2022-05-04 |