| NPI | 1114118338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 56826) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301090534) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2013-01-15 |