| NPI | 1922758358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0107161) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0107161) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2026-09-11 |