| NPI | 1295718708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2011-01283) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 43159) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2019-10-14 |