| NPI | 1417944521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 19600) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA 33914) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-07-29 |