| NPI | 1346349545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME110864) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 230225) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-02-07 |