| NPI | 1275545253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102205461) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 2172) |
| 208000000X Pediatrics (Licence: WV 2172) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2018-11-19 |