| NPI | 1376869800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 261417) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 261417) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2018-12-21 |