| NPI | 1922065598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 5934303-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5934303-1205) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2026-05-31 |