| NPI | 1740866292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 104775) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 104775) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-06-22 |