| NPI | 1134326572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NE 25591) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5652) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-01-02 |