| NPI | 1417666348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR 222343) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR 222343) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-06-03 |