| NPI | 1801152731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD 6908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 6908) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |