| NPI | 1043232986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 16591) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000035865) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2010-10-30 |