| NPI | 1972037687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-00513) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-00513) |
| 207R00000X Internal Medicine (Licence: NC 227300) | |
| 208000000X Pediatrics (Licence: NC 227300) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-08-16 |