| NPI | 1669681995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 246656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 246656) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-05-19 |