| NPI | 1285715482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2011-01859) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 1007) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2017-12-15 |