| NPI | 1225237753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME 98941) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9257) |
| Enumeration Date | 2007-07-14 |
| Last Update Date | 2011-01-11 |