| NPI | 1013906098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 0574) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2015-02335) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2017-02-02 |