| NPI | 1992792964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101013071) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101013071) |
| 208000000X Pediatrics (Licence: MI 5101013071) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2025-11-11 |