| NPI | 1417985698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2009-01204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200901204) |
| 208000000X Pediatrics (Licence: NC 200901204) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2016-12-19 |