| NPI | 1285681445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-6324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301038528) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2016-06-21 |