| NPI | 1316969827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.15670R) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 15670R) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2010-07-13 |