| NPI | 1932444882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MI 4301048836) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301048836) |
| 208000000X Pediatrics (Licence: MI 4301048836) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |