| NPI | 1255597795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME105166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051993) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2014-02-28 |