| NPI | 1801250881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 04844) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 04844) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-05-25 |