| NPI | 1427000223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 41881) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000040774) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-09-21 |