| NPI | 1720122740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 112937) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 112937) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |