| NPI | 1245081348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL92513) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL92513) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-08-01 |