| NPI | 1659488773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 11684) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 11684) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-07-19 |