| NPI | 1831540269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2020-02278) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.069628) |
| 207R00000X Internal Medicine (Licence: IL 125.069628) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2020-10-26 |