| NPI | 1891172961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 209604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 209604) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2020-04-20 |