| NPI | 1346262482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 73657) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 73657) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-02-02 |