| NPI | 1376649871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 18618) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 058830) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-12-18 |