| NPI | 1619195500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010015955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010015955) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-08-20 |