| NPI | 1447565437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 60071) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096470) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2013-08-13 |