| NPI | 1831447317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2003030495) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2003030495) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |