| NPI | 1013112424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 41384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 25715) |
| 208000000X Pediatrics (Licence: IA R-8037) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-03-07 |