| NPI | 1982760450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-02864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235588) |
| 207R00000X Internal Medicine (Licence: NC 2018-02864) | |
| 208000000X Pediatrics (Licence: MA 235588) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2023-11-22 |