| NPI | 1144314527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD154899) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2000220) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-05 |