| NPI | 1164798344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 266273) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266273) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2016-06-29 |