| NPI | 1568500494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-9749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-9749) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2010-03-15 |