| NPI | 1639499767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: AZ 48380) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 48380) |
| 207R00000X Internal Medicine (Licence: AZ 48380) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2018-03-23 |