| NPI | 1407960859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD15638) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00034775) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-10 |