| NPI | 1669673331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 076690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.203980) |
| 208000000X Pediatrics (Licence: LA MD 203980) | |
| 208000000X Pediatrics (Licence: GA 076690) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-01-29 |