| NPI | 1467517250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 203800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 11591) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2018-07-13 |