| NPI | 1114933249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 145820) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 36292) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2019-01-14 |