| NPI | 1205811858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 023680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 023680) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2021-03-24 |