| NPI | 1124019039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 79608) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 79608) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2025-09-11 |