| NPI | 1659667335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 74323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D80333) |
| 208000000X Pediatrics (Licence: MD D80333) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2023-09-06 |