| NPI | 1295821403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 47812) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078997) |
| 208000000X Pediatrics (Licence: IN 01054599) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2013-07-01 |