| NPI | 1336259480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 202620) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 202620) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-02-14 |