| NPI | 1063543080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 060405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 060405) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-06-28 |