| NPI | 1346252665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 6094) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 42-004933) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-12-07 |