| NPI | 1295792968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 011132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 221062) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-01-24 |