| NPI | 1124313036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 33695) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MMD.33695 LL) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2014-06-26 |