| NPI | 1942427935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301084392) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 14138) |
| 208000000X Pediatrics (Licence: NH 14138) | |
| 208000000X Pediatrics (Licence: MI 4301084392) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2018-09-14 |