| NPI | 1265410393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: KY 28428) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 28428) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2012-04-25 |