| NPI | 1700448156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351045157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A183569) |
| 208000000X Pediatrics (Licence: MI 4351045157) | |
| 208000000X Pediatrics (Licence: CA A183569) | |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2026-05-21 |