| NPI | 1962610469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301093766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301093766) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-03-10 |