| NPI | 1194980318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012016956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008016563) |
| 208000000X Pediatrics (Licence: MO 2008016563) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2013-01-21 |