| NPI | 1396741682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD18908) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301095441) |
| 208000000X Pediatrics (Licence: MI 4301095441) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2026-04-15 |