| NPI | 1629334479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 60998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081704) |
| 208000000X Pediatrics (Licence: MN 60998) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2018-06-25 |