| NPI | 1669791091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-23275) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 23275) |
| 208000000X Pediatrics (Licence: MT MED-PHYS-LIC-23275) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2024-03-26 |