| NPI | 1467695486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2013-00157) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 157317) |
| 208000000X Pediatrics (Licence: NC 157317) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-03-21 |