| NPI | 1669902805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 51191) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL51191) |
| 208000000X Pediatrics (Licence: SC 51191) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-09-16 |