| NPI | 1386211795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351048149) |
| 208000000X Pediatrics (Licence: MI 4351048149) | |
| Enumeration Date | 2021-06-06 |
| Last Update Date | 2026-07-01 |