| NPI | 1295884120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 26272) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 26272) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-09-16 |