| NPI | 1467658674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 25227) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 7621A) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-11-16 |