| NPI | 1427032218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 41751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 41751-02) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2014-03-05 |