| NPI | 1114247475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 25803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 25803) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2021-12-08 |