| NPI | 1114925302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 21203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 21203) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2018-11-13 |