| NPI | 1316998107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MA 209839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 209839) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-10-30 |