| NPI | 1164487963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301082938) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI WR082938) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-12-28 |