| NPI | 1376673509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ RN045582) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ RN045582) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2014-05-05 |