| NPI | 1780715342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 51071) |
| 208000000X Pediatrics (Licence: MN 51071) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-09-07 |