| NPI | 1871859231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2016-00253) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-00253) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2020-08-20 |