| NPI | 1225179138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A105877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 24984) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-04-07 |