| NPI | 1174728695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 054519) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-232255) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-11-22 |