| NPI | 1962414599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 262999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 262999) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2015-06-10 |