| NPI | 1407066764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD27561) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR LL16142) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-04-26 |