| NPI | 1306300074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 35638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 35638) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2021-12-20 |