| NPI | 1114038825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX j9929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX j9929) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-07-18 |