| NPI | 1174738157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 199909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 199909) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2014-04-10 |