| NPI | 1881874931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 97494) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL me97494) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2012-05-30 |