| NPI | 1194954099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2009016771) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009016771) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2013-08-16 |