| NPI | 1710129895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 50797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 206132) |
| 208000000X Pediatrics (Licence: LA 206132) | |
| 207R00000X Internal Medicine (Licence: TN 50797) | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2014-05-17 |