| NPI | 1003029935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 66196611205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5069) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2013-05-13 |