| NPI | 1760878433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 141326) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME141326) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2020-04-11 |