| NPI | 1932291432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MI 4301076848) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301076848) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-01-16 |