| NPI | 1174799258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-7511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0004055) |
| 208000000X Pediatrics (Licence: AR E-7511) | |
| 208000000X Pediatrics (Licence: DE C7-0004055) | |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2017-09-18 |