| NPI | 1780847806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A95235) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A95235) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2012-07-26 |