| NPI | 1285663658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD19928) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A60050) |
| 208000000X Pediatrics (Licence: WA MD00035594) | |
| 208000000X Pediatrics (Licence: SD 7590) | |
| 208000000X Pediatrics (Licence: WY 81831) | |
| 208000000X Pediatrics (Licence: NM MD20090692) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-03-22 |