| NPI | 1447258322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 028128) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 28128) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2019-06-07 |