| NPI | 1336375385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS017594) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2012-01327) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2015-07-09 |