| NPI | 1316914823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 33106) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX k7871) |
| 208000000X Pediatrics (Licence: TX k7871) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2019-02-20 |