| NPI | 1841585924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL TRN16509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN16509) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2014-07-14 |