| NPI | 1376831164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: GA 29172) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 29172) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2015-11-12 |