| NPI | 1750430393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 235674) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 229630) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: GA 82199) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-04-15 |