| NPI | 1982645644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301087171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087171) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2021-03-17 |