| NPI | 1386621076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 207836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 207836) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2015-08-28 |