| NPI | 1255692349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A126453) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A126453) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2021-10-29 |