| NPI | 1083680862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR R4485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR R4485) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2011-11-07 |