| NPI | 1831238690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-01957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 103769) |
| 208000000X Pediatrics (Licence: NC 2006-01957) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-01-10 |