| NPI | 1982667697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 1212) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 1212) |
| 207R00000X Internal Medicine (Licence: NV 1212) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2010-01-20 |