| NPI | 1336449149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI 17612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 17612) |
| 207R00000X Internal Medicine (Licence: CA A114282) | |
| 208000000X Pediatrics (Licence: CA A114282) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2014-10-13 |