| NPI | 1477668549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD158148) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008255) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-10-17 |