| NPI | 1235243973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M5357) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 3729A) |
| 208000000X Pediatrics (Licence: OH 53037) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2009-09-10 |