| NPI | 1922636059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 16982A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 16982A) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2024-10-16 |