| NPI | 1306821137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 26101) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 26101) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-08-13 |