| NPI | 1164008769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0102852) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0102852) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-08-08 |