| NPI | 1922368331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34013697) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 02004854A) |
| 207R00000X Internal Medicine (Licence: IN 02004854A) | |
| 208000000X Pediatrics (Licence: MI 5101019944) | |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2023-11-14 |