| NPI | 1619471661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A166497) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A166497) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2025-07-21 |