| NPI | 1851734461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0721) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2017-0721) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2018-03-17 |