| NPI | 1164528329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 2241-A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-8159) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |