| NPI | 1730319047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A143729) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT195438) |
| 208000000X Pediatrics (Licence: PA MT195438) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-11-13 |