| NPI | 1053437350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 012004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME 012004) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2015-03-10 |