| NPI | 1295861961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2008-00638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-224892) |
| 208000000X Pediatrics (Licence: MA 273874) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-05-02 |