| NPI | 1518320175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 151678) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 151678) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2022-06-09 |