| NPI | 1144261074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 52195) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 52195) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2012-04-16 |