| NPI | 1144344318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 232539) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 43732) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-01-13 |