| NPI | 1942590039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2023-01308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-01308) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-07-15 |