| NPI | 1003906298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 201896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD201896) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2017-02-17 |