| NPI | 1871129882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CA A183369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A183369) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2023-05-22 |