| NPI | 1164473641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 2003-0018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2003-0018) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-01-08 |