| NPI | 1205419223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2025006828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351047988) |
| 208000000X Pediatrics (Licence: MI 4351047988) | |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2025-08-21 |