| NPI | 1528065570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM 96-59) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 9659) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2016-04-13 |