| NPI | 1962727420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D81531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.135359) |
| 208000000X Pediatrics (Licence: IL 036.135359) | |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2016-07-19 |