| NPI | 1285864793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 27,622 R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R2549) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2018-03-17 |