| NPI | 1497064497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: HI 16438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 5958) |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2018-05-01 |