| NPI | 1629106356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200000564) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200000564) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2014-12-10 |