| NPI | 1659301547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 73445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 73445) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2026-02-20 |