| NPI | 1932176997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 1014919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9801230) |
| 208000000X Pediatrics (Licence: CT 037632) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2026-03-01 |