| NPI | 1194301192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY TP529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP529) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2025-08-13 |