| NPI | 1922428150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301106190) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301106190) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-04-11 |