| NPI | 1972692028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 35860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 0097-01183) |
| 208000000X Pediatrics (Licence: AZ 35860) | |
| 208000000X Pediatrics (Licence: NC 0097-01183) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-07-29 |