| NPI | 1043442148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 051028) |
| Additional Taxonomies | 207RA0000X Internal Medicine Adolescent Medicine (Licence: CT 051028) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2015-10-05 |