| NPI | 1467890798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI DOS1667) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI DOS1667) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2024-09-06 |