| NPI | 1679834980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266482) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266482) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 266482) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2020-12-05 |