| NPI | 1629042387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 273646) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD421131) |
| 208000000X Pediatrics (Licence: MA 273646) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2018-04-02 |