| NPI | 1144421249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 16654) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16654) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2016-12-08 |