| NPI | 1467513002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2006033350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-27102) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2015-12-02 |