| NPI | 1134185770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL D0674) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL D0674) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-09-08 |