| NPI | 1770744559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD H0074586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD H0074586) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2014-11-21 |