| NPI | 1114138765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 224232) |
| Additional Taxonomies | 2080P0205X Pediatrics Pediatric Endocrinology (Licence: MA 224232) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-08 |