| NPI | 1023530250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301113321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113321) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-07-21 |