| NPI | 1154334753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 043506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9401085) |
| 208000000X Pediatrics (Licence: GA 043506) | |
| 208000000X Pediatrics (Licence: NC 9401085) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |