| NPI | 1184679474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IA MD-43152) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2011-00205) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2016-02-02 |