| NPI | 1528234200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C186374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C186374) |
| 208000000X Pediatrics (Licence: LA MD.207578) | |
| 207R00000X Internal Medicine (Licence: LA MD.207578) | |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2024-03-04 |