| NPI | 1720183387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200401443) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200401443) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-10-25 |