| NPI | 1851912281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 17928) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 347430) |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2025-11-14 |