| NPI | 1851480719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301065719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301065719) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-11-05 |