| NPI | 1366436651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 38411) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD38411) |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2010-12-10 |