| NPI | 1477583425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 52658) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 39226-020) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2014-03-20 |