| NPI | 1255592697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 46346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 70866) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2013-09-24 |