| NPI | 1306865951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 26530) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 026530) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-06-13 |