| NPI | 1386796050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A121652) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 241773) |
| 208000000X Pediatrics (Licence: MA 241773) | |
| 208000000X Pediatrics (Licence: CA A121652) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-03-14 |