| NPI | 1619514478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0100664) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0100664) |
| Enumeration Date | 2019-11-28 |
| Last Update Date | 2026-03-27 |