| NPI | 1467493544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 50995) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2006-00455) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-08-25 |