| NPI | 1891725446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 228100) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 228100) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-11-28 |