| NPI | 1417381641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9600622) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.4399) |
| 208000000X Pediatrics (Licence: FL ME 64322) | |
| 208000000X Pediatrics (Licence: PA MD072529L) | |
| 208000000X Pediatrics (Licence: TN 35995) | |
| 208000000X Pediatrics (Licence: KY 38202) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |