| NPI | 1053575092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 8524) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 5848) |
| 208000000X Pediatrics (Licence: NE 5848) | |
| 208000000X Pediatrics (Licence: SD 8524) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2013-06-06 |