| NPI | 1710053327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 31681) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TN 31681) |
| 208000000X Pediatrics (Licence: TN 31681) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2010-01-26 |