| NPI | 1184727562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M3739) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-09-10 |