| NPI | 1487664470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 30253) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 29130) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-09-14 |