| NPI | 1922070937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A78089) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A78089) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2021-12-09 |