| NPI | 1740509710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A139099) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.124005) |
| 208000000X Pediatrics (Licence: CA A139099) | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2026-05-13 |