| NPI | 1962487793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9900041) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 9801787) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2013-01-23 |