| NPI | 1992762603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD024974) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD024974) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-10-30 |