| NPI | 1053975524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301509230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301509230) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-09-11 |