| NPI | 1326075516 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD129426) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD19426) | 
| Enumeration Date | 2006-06-26 | 
| Last Update Date | 2011-08-23 |