| NPI | 1558567735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 49289) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 49289) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 49289) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2017-05-05 |