| NPI | 1033139183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX N3984) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME94426) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-11-09 |