| NPI | 1659766368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 36208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 36208) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2025-12-29 |