| NPI | 1013981927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD SD4425) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 4425) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-04-10 |