| NPI | 1093735979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 21374) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 38714) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-03-27 |