| NPI | 1467762039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301104115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD064215L) |
| 208000000X Pediatrics (Licence: CA G80350) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2013-08-14 |