| NPI | 1598965295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5101017252) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101017252) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2012-02-06 |