| NPI | 1093929143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2009-0425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2009-0425) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2014-07-14 |