| NPI | 1073662730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301060360) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301060360) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2011-04-21 |