| NPI | 1194089896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA R-9417) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MN 59046) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2015-06-05 |