| NPI | 1922262146 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 26659) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 26659) | 
| Enumeration Date | 2008-07-16 | 
| Last Update Date | 2016-08-30 |