| NPI | 1356145312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL95032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL95032) |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-08-02 |