| NPI | 1881892065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS015479) |
| 208000000X Pediatrics (Licence: PA OT012249) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-06-18 |