| NPI | 1164629754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.201720) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.201720) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2010-11-10 |