| NPI | 1699933721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088673) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088673) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-10-02 |