| NPI | 1922391655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 262776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262776) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2016-01-25 |