| NPI | 1073521605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 32057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 00026791) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2012-02-21 |