| NPI | 1336115674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 14173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 037042) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2014-07-22 |