| NPI | 1114124492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: HI MD15497) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT186192) |
| 208000000X Pediatrics (Licence: PA MD435676) | |
| 208000000X Pediatrics (Licence: NV 13793) | |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-08-09 |