| NPI | 1306051099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 89497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 243415) |
| 207R00000X Internal Medicine (Licence: MA 243415) | |
| 207R00000X Internal Medicine (Licence: SC 89497) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2026-07-28 |