| NPI | 1447263017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA ML20007893) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 24151) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2014-12-04 |