| NPI | 1033149430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2008002493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008002493) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-09-25 |