| NPI | 1457324600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL DO616) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL DO616) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2015-03-20 |