| NPI | 1720375389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23788) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MS T-2474) |
| 208000000X Pediatrics (Licence: MS 23788) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2016-10-18 |