| NPI | 1487222154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 37015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10091772) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2026-01-10 |