| NPI | 1811741622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116039725) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116039725) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2025-06-22 |