| NPI | 1609806744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD421877) |
| 208000000X Pediatrics (Licence: PA MD421877) | |
| 208000000X Pediatrics (Licence: CA C54228) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2026-07-01 |