| NPI | 1295733863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 266352) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35074060) |
| 208000000X Pediatrics (Licence: MI 4301065724) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2013-04-23 |