| NPI | 1184653537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 34181) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD34181) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-02-02 |