| NPI | 1891228631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 71144) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 71144) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2021-05-11 |