| NPI | 1215468111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 287857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287857) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-06-11 |