| NPI | 1255446589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 201588) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 056819) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-01-16 |