| NPI | 1255536926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301088595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088595) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2009-10-20 |