| NPI | 1780147306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101277840) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101277840) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-06-06 |