| NPI | 1043439839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 239131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 239131) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-05-19 |