| NPI | 1215196274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0076609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0076609) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2013-08-19 |