| NPI | 1902463235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 97420) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351045086) |
| 208000000X Pediatrics (Licence: GA 97420) | |
| 208000000X Pediatrics (Licence: MI 4351045086) | |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-10-05 |