| NPI | 1285772517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 41959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R1084) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-07-18 |