| NPI | 1174150551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301512048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301512048) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-10-28 |