| NPI | 1215406665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0101960) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0101960) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2026-07-01 |