| NPI | 1821318312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A130088) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A130088) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2019-12-16 |