| NPI | 1972731123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 254724) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 254724) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-04-29 |