| NPI | 1093763179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MD D0060325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0060325) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-06-06 |