| NPI | 1477591543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 19808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 19808) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2012-05-22 |