| NPI | 1306868179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 09854R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 09854R) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-10-29 |