| NPI | 1578256962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL89871) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL89871) |
| Enumeration Date | 2023-05-31 |
| Last Update Date | 2023-06-06 |