| NPI | 1235347048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 32212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 053505) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-07-14 |