| NPI | 1013042985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.03803R) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: LA MD.03803R) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2012-11-19 |