| NPI | 1366488793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200301286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 043477) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2012-04-19 |