| NPI | 1487674487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 25863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 49224) |
| 208000000X Pediatrics (Licence: WA MD00046379) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-04-20 |