| NPI | 1982772828 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 14444) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 2049) | 
| 208000000X Pediatrics (Licence: ME 2049) | |
| 207R00000X Internal Medicine (Licence: NH 14444) | |
| Enumeration Date | 2006-11-30 | 
| Last Update Date | 2015-10-22 |