| NPI | 1265867568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.09243R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.09243R) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |