| NPI | 1316441884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 91812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 91812) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-07-11 |