| NPI | 1447887575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD.MD.70132992) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1019461) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-08-27 |