| NPI | 1114381746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 336039) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 336039) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2023-10-19 |