| NPI | 1932580883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301107547) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107547) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2019-10-29 |