| NPI | 1235318981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J1146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35066117) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |