| NPI | 1053387811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NM 2001-110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2001-110) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-02-18 |