| NPI | 1285139279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 71877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 71877) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-10-26 |