| NPI | 1134101751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 152836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 152836) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2013-05-07 |