| NPI | 1427104181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL PA9104017) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104017) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-11-07 |