| NPI | 1790928133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 48919) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036131949) |
| 207R00000X Internal Medicine (Licence: IL 036131949) | |
| 208000000X Pediatrics (Licence: KY 48919) | |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2017-01-19 |