| NPI | 1174737878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME104221) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301088817) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-04-17 |