| NPI | 1942889498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 8750120) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 35115) |
| 208000000X Pediatrics (Licence: MS 35115) | |
| 208000000X Pediatrics (Licence: WI 8750120) | |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2026-08-24 |