| NPI | 1760059703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 17712) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 17712) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2026-04-03 |