| NPI | 1821518317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301119240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2022-00526) |
| 208000000X Pediatrics (Licence: MI 4301112689) | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2023-08-18 |