| NPI | 1992728323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD17649) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD17649) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-08-15 |