| NPI | 1932191863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.104122) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008016019) |
| 208000000X Pediatrics (Licence: MO 2008016019) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2023-02-02 |