| NPI | 1013178243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-00932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101249658) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2013-07-03 |