| NPI | 1124137252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2012014201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 34394) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-11-27 |