| NPI | 1477873180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 251030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R70642) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2013-01-25 |