| NPI | 1114037389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 8131A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008677) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: WY 8131A) | |
| 208000000X Pediatrics (Licence: CO 0051721) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-07-16 |