| NPI | 1710982285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E2169) |
| Additional Taxonomies | 208D00000X General Practice (Licence: AR E-2169) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2014-04-24 |