| NPI | 1922534460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 81115-21) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 81115-21) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2023-09-07 |