| NPI | 1740713734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: WA A172106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA D89383) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2026-07-17 |