| NPI | 1235264581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60242613) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 39580) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2012-11-19 |