| NPI | 1114909124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR C-7762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR C-7762) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-10-29 |