| NPI | 1316331259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 58314) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 58314) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-04-28 |