| NPI | 1871835520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 080487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 80487) |
| 208000000X Pediatrics (Licence: GA 080487) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-09-15 |