| NPI | 1649478207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C54997) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2012-11-01 |