| NPI | 1114374063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CT 79541) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 79541) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2024-12-10 |