| NPI | 1528164324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2009-01717) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2009-01717) |
| 207R00000X Internal Medicine (Licence: NC 2009-01717) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-03-17 |