| NPI | 1104023613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME1179855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 23752) |
| 208000000X Pediatrics (Licence: IN 01070031A) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2014-09-24 |