| NPI | 1548278971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MI 4301079769) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301079769) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-10-18 |