| NPI | 1235367327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A139073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 252650) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2016-02-26 |