| NPI | 1316211154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A122336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A122336) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2022-09-08 |