| NPI | 1346354776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A80674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A80674) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-02-27 |