| NPI | 1265470710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2009-0652) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0061366) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2011-06-06 |