| NPI | 1336107416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OK 26228) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 38360) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-03-19 |