| NPI | 1891182929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023039966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 313126) |
| 208000000X Pediatrics (Licence: MO 2023039966) | |
| 208000000X Pediatrics (Licence: LA 313126) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-10-11 |