| NPI | 1922099662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 022167) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 022167) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2017-02-03 |