| NPI | 1306845581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD28343) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101232631) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-11-30 |