| NPI | 1386664241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101240390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD423660) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-10-25 |