| NPI | 1891706875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 27780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 27780) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2015-06-08 |