| NPI | 1780212118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 80411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1019112) |
| 208000000X Pediatrics (Licence: CT 80411) | |
| 208000000X Pediatrics (Licence: MA 1019112) | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2025-03-31 |