| NPI | 1275720112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-01328) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301090704) |
| 208000000X Pediatrics (Licence: MI 4301090704) | |
| 208000000X Pediatrics (Licence: NC 2011-01328) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2014-06-11 |