| NPI | 1770977605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 66604) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 66604) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2025-05-05 |