| NPI | 1346704335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A200700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014809) |
| 208000000X Pediatrics (Licence: CA A200700) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-09-02 |