| NPI | 1396072609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: VA 0101039837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101039837) |
| 208D00000X General Practice (Licence: VA 0101039837) | |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2009-11-06 |