| NPI | 1427635002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A189601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A189601) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2026-02-09 |