| NPI | 1407180938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO dr0052837) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71116) |
| 208000000X Pediatrics (Licence: AZ 44368) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2015-03-26 |