| NPI | 1801884754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IA 35451) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 35451) |
| 208000000X Pediatrics (Licence: IA 35451) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-11-29 |