| NPI | 1861439788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301079852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301079852) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2018-05-16 |