| NPI | 1861053159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A185790) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A185790) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2023-10-02 |