| NPI | 1366530941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI SL073954) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI SL073954) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-04-25 |