| NPI | 1184637795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 45366) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301083413) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2011-11-30 |