| NPI | 1922292630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2014029658) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014029658) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2018-03-12 |