| NPI | 1740818038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A202812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A202812) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-09-08 |