| NPI | 1235493701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MS 23896) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MS T-2573) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2016-07-06 |