| NPI | 1134214117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00044749) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD25907) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-11 |