| NPI | 1871524181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME78720) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: FL ME78720) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2014-07-09 |