| NPI | 1083623250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA 37934) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 31367) |
| Enumeration Date | 2006-08-06 |
| Last Update Date | 2011-10-27 |