| NPI | 1194724922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 12843) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 12843) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2016-05-05 |