| NPI | 1629425996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301504667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.068389) |
| 208000000X Pediatrics (Licence: IL 125.068389) | |
| 208000000X Pediatrics (Licence: MI 4301504667) | |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2021-07-13 |