| NPI | 1922980556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 13204) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 13204) |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |