| NPI | 1649599598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2014-00284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2014-00284) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2026-05-04 |