| NPI | 1972583946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 156935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 156935) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-09-05 |