| NPI | 1346312246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 9545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 72131) |
| 208000000X Pediatrics (Licence: LA 11087R) | |
| 208D00000X General Practice (Licence: PR 9545) | |
| 208D00000X General Practice (Licence: FL 72131) | |
| 208D00000X General Practice (Licence: LA 11087R) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-03-15 |