| NPI | 1841636982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301102739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301102739) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2018-12-26 |