| NPI | 1306060405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 50517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085834) |
| 207R00000X Internal Medicine (Licence: CO 50517) | |
| 207R00000X Internal Medicine (Licence: MI 4301085834) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-06-10 |