| NPI | 1811370463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019010200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015017283) |
| 208000000X Pediatrics (Licence: MO 2019010200) | |
| 208000000X Pediatrics (Licence: MO 2015017283) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2022-09-02 |