| NPI | 1932604246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 71023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71537-20) |
| 208000000X Pediatrics (Licence: MN 71023) | |
| 208000000X Pediatrics (Licence: WI 71537-20) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-07-27 |